| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
3,405 |
2,941 |
$338K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
1,525 |
1,309 |
$52K |
| E0601 |
Continuous positive airway pressure (cpap) device |
420 |
416 |
$24K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
447 |
443 |
$9K |
| A7030 |
Full face mask used with positive airway pressure device, each |
69 |
69 |
$6K |
| K0001 |
Standard wheelchair |
67 |
60 |
$3K |
| E0570 |
Nebulizer, with compressor |
29 |
29 |
$2K |
| A7035 |
Headgear used with positive airway pressure device |
62 |
62 |
$1K |
| T4541 |
Incontinence product, disposable underpad, large, each |
12 |
12 |
$642.18 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
138 |
137 |
$480.43 |
| E1392 |
Portable oxygen concentrator, rental |
50 |
49 |
$403.47 |
| A7037 |
Tubing used with positive airway pressure device |
15 |
15 |
$378.54 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
13 |
13 |
$276.99 |